猪尾导管与普通胸管气胸引流效果与安全性的Meta分析
发布时间：2018-11-01 11:11
【摘要】：目的评价猪尾导管与普通胸管用于气胸引流治疗的有效性及安全性。方法通过计算机检索Pub Med、Cochrane图书馆、Embase、谷歌学术等英文数据库截至2015年11月26日有关猪尾导管与普通胸管治疗气胸的临床对照试验,使用MINORS条目对纳入文献的方法学质量进行评价,采用Revman Manager 5.1软件进行Meta分析。结果共纳入4篇文献,包括1篇随机对照研究、3篇非随机对照试验,共522例患者,其中使用猪尾导管267例、使用普通胸管255例。经过Meta分析:猪尾导管组相对于普通胸管组,减少了术后置管时间(WMD=-0.33,95%CI-0.58~-0.07,P0.05),而气胸治疗成功率(RR=0.94,95%CI 0.87~1.02,P0.05)、术后住院时间(WMD=-2.33,95%CI-6.87~2.22,P0.05)、相应并发症的发生率(RR=0.73,95%CI 0.29~1.86,P0.05),差异均无统计学意义。结论相比于普通胸管,应用猪尾导管治疗气胸,可有效减少患者术后置管时间,而并发症、术后住院时间、成功率差异均无统计学意义。猪尾导管可有效用于气胸患者的胸腔闭式引流。
[Abstract]:Objective to evaluate the efficacy and safety of pig tail catheter and common chest tube in the treatment of pneumothorax drainage. Methods Pub Med,Cochrane library, Embase, Google academic database and other English databases were searched by computer. As of November 26, 2015, the clinical controlled trial of pig tail catheter and common chest tube in treating pneumothorax was carried out. MINORS items were used to evaluate the methodological quality of the literature, and Revman Manager 5.1 software was used for Meta analysis. Results A total of 4 articles were included, including 1 randomized controlled study and 3 non-randomized controlled trials. A total of 522 patients were included, 267 of whom were treated with pig tail catheter and 255 with common thoracic duct. After Meta analysis, compared with the common chest tube group, the pig tail catheter group reduced the postoperative catheter placement time (WMD=-0.33,95%CI-0.58~-0.07,P0.05), and the success rate of pneumothorax treatment (RR=0.94,95%CI 0.871.02). There was no significant difference in postoperative hospitalization time (WMD=-2.33,95%CI-6.87~2.22,P0.05) and the incidence of complications (RR=0.73,95%CI 0.29, 1.86 P 0.05). Conclusion compared with the common chest tube, the treatment of pneumothorax with pig tail catheter can effectively reduce the time of catheterization, but there is no significant difference in complications, postoperative hospitalization time and success rate of pneumothorax. Pig tail catheter can be effectively used for thoracic closed drainage in patients with pneumothorax.
【作者单位】： 重庆医科大学附属第二医院呼吸与危重症医学科;重庆市人民医院呼吸内科;
【基金】：重庆市卫生计生委医学科研项目(2015MSXM071)~~
【分类号】：R561.4
本文编号：2303747
[Abstract]:Objective to evaluate the efficacy and safety of pig tail catheter and common chest tube in the treatment of pneumothorax drainage. Methods Pub Med,Cochrane library, Embase, Google academic database and other English databases were searched by computer. As of November 26, 2015, the clinical controlled trial of pig tail catheter and common chest tube in treating pneumothorax was carried out. MINORS items were used to evaluate the methodological quality of the literature, and Revman Manager 5.1 software was used for Meta analysis. Results A total of 4 articles were included, including 1 randomized controlled study and 3 non-randomized controlled trials. A total of 522 patients were included, 267 of whom were treated with pig tail catheter and 255 with common thoracic duct. After Meta analysis, compared with the common chest tube group, the pig tail catheter group reduced the postoperative catheter placement time (WMD=-0.33,95%CI-0.58~-0.07,P0.05), and the success rate of pneumothorax treatment (RR=0.94,95%CI 0.871.02). There was no significant difference in postoperative hospitalization time (WMD=-2.33,95%CI-6.87~2.22,P0.05) and the incidence of complications (RR=0.73,95%CI 0.29, 1.86 P 0.05). Conclusion compared with the common chest tube, the treatment of pneumothorax with pig tail catheter can effectively reduce the time of catheterization, but there is no significant difference in complications, postoperative hospitalization time and success rate of pneumothorax. Pig tail catheter can be effectively used for thoracic closed drainage in patients with pneumothorax.
【作者单位】： 重庆医科大学附属第二医院呼吸与危重症医学科;重庆市人民医院呼吸内科;
【基金】：重庆市卫生计生委医学科研项目(2015MSXM071)~~
【分类号】：R561.4
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